Organization Active NPI

Border Skilled Services, Inc.

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1992907281
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BORDER SKILLED SERVICES, INC.
Practice address
6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050
Phone
(956) 724-9999
Fax
(956) 717-8854
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alberto Garza-Gongora
Title
President - Cfo
Phone
(956) 724-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050

Mailing address

6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050
Phone (956) 724-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000208 TX Part A Provider - Home Health Agency 0840374955 Practice locations: Laredo, TX

Home health agency certification: CCN 747258

Legal name
BORDER SKILLED SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 12, 2009
Last certification
Mar 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 3, 2007 in TX
Enrollment address
6425 Polaris Drive
Suite 11
Laredo, TX 78041-1995

Care Compare: Home health agency

Medicare Care Compare
Listed as
Border Skilled Services IncCCN 747258
Ownership
Proprietary
Certified
Jun 12, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1071035Border Skilled Services Inc6425 Polaris Drive Ste 11, Laredo, TX 78041Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

6425 Polaris Dr
Ste 11
Laredo, TX 78041
Phone (956) 724-9999

5904 San Bernardo Ave
Laredo, TX 78041
Phone (956) 724-9999

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Fernando Prince Individual Operational/Managerial ControlAlternate Supervising Nurse Jan 9, 2018
Alberto Garza-Gongora Individual 5% Or Greater Direct Ownership Interest Feb 1, 2008
Celinda Gonzalez Individual Operational/Managerial Control Nov 29, 2010

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1992907281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 POLARIS DRIVE",
            "address_2": "STE. 11",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412050",
            "telephone_number": "956-724-9999",
            "fax_number": "956-717-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 POLARIS DRIVE",
            "address_2": "STE. 11",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412050",
            "telephone_number": "956-724-9999",
            "fax_number": "956-717-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDER SKILLED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "GARZA-GONGORA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT - CFO",
        "authorized_official_telephone_number": "956-724-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.